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目的为预防控制周宁县肾综合征出血热(HFRS)提供科学依据。方法按《全国肾综合征出血热监测方案》要求对人间、鼠间疫情进行监测。结果2007年周宁县报告HFRS10例,发病率5.12/10万,较2005-2006年明显下降。该病主要分布在周宁县中部地区的狮城、浦源镇。发病高峰为1-2月和10-12月。患者以18～55岁青壮年农民为主,男性高于女性。褐家鼠、黑线姬鼠分别为室内、外优势鼠种,野鼠带病毒率(13.98%)高于室内(6.63%)(χ2=3.94,P<0.05)。结论周宁县HFRS的流行特征符合混合型疫区的流行特点,应采取以灭鼠、疫苗接种为主的综合性措施控制HFRS流行。
Objective To provide a scientific basis for the prevention and control of hemorrhagic fever with renal syndrome (HFRS) in Zhouning County. Methods According to the National Plan of Hemorrhagic Fever with Renal Syndrome, the epidemic situation of human and mouse was monitored. Results In 2007, Zhouning County reported 10 cases of HFRS with the incidence of 5.12 / 100 000, which was significantly lower than that of 2005-2006. The disease is mainly distributed in the central area of Zhouning County, Puyuan town. The peak incidence of January-February and October-December. The patients were mainly young and middle-aged peasants from 18 to 55 years old, and males were higher than females. Rattus norvegicus and Apodemus agrarius were indoor and outside dominant mice respectively. The virulence rate of rabbits (13.98%) was higher than that of indoor (6.63%) (χ2 = 3.94, P <0.05). Conclusion The epidemiological characteristics of HFRS in Zhouning County are in line with the epidemic characteristics of mixed epidemic-prone areas. The epidemic of HFRS should be controlled by comprehensive measures including deratization and vaccination.